NPI 1265206692

Lisa Marie Fernandes, LPN

Practitioner Licensed Practical Nurse Jacksonville, IL

Practice location

Address: 1429 S. Main St. Dhs/Drs/Hsd Suite C, Jacksonville, IL 62650
Phone: (217) 245-9585

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 043077146 (IL)

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Registry record

NPI: 1265206692
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2023
Record last updated: 7 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.